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Camp Cougar at Carver Elementary Summer 2021 Registration Form
IMPORTANT INFORMATION:
June 1 - June 30 Monday - Thursday 8:00 AM - 12:30 PM
Lunch & Breakfast served
Transportation provided
Acceptance letters will be sent home in May.
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* Indicates required question
Student's Name
*
Your answer
Gender
*
Male
Female
Prefer not to say
Date of Birth
*
MM
/
DD
/
YYYY
Student's Address
*
Your answer
Grade Level 2021 - 2022 (upcoming school year)
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
How will your child go home?
*
Bus Rider
Car Rider
Medical or other issues the school should be aware of
*
Your answer
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Name of Emergency Contact
*
Your answer
Phone Number of Emergency Contact
*
Your answer
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